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. 2021 Sep 20;15(9):e0009769. doi: 10.1371/journal.pntd.0009769

Table 1. Existing frameworks for classifying endemicity and burden using pre-defined levels, indicators, and cut-offs.

WHO-AFRO Leprosy burden scale Brazilian method
Indicators High Medium Low Hyper-endemic Very High High Medium Low
NCDR per 100,000 population >20 10–20 <10 >40.00 20.00–39.99 10.00–19.99 2.00–9.99 <2.00
NCDR in children 100,000 population >20 10–20 <10 >10.00 5.00–9.99 2.50–4.99 0.50–2.49 <0.50
Prevalence rate per 10,000 >2 1–2 <1 20.0 10.0–19.99 5.0–9.9 1.0–4.9 <1.0
Proportion G2D among new cases per 100,000 population >20 10–20 <10 NS NS ≥10 5–9.9 <5
Proportion MB among new cases <50 50–75 76–100 Indicator not included
Proportion of females among new <40 >60 40–60 Indicator not included
Proportion of PB / MB cases cured in the year with degree of incapacity II* Indicator not included - - ≥10 5–9.9 <5
Proportion of G2D cases cured at time of discharge Indicator not included - - ≥10 5–9.9 <5
Detection (new cases) in regions >100 21–100 0–20 Indicator not included
Detection (new cases) in health district >20 11–20 0–10 Indicator not included
Prevalence/ detection (p/d) >2 1–2 <1 Indicator not included
G2D rate per 100,000 population >1 0.5–1 <0.5 Indicator not included

NCDR = new case detection rate; G2D = grade-2 disability; MB = multibacillary leprosy; PB = paucibacillary leprosy